Form 990 for tax year 2023
Filed by MCKENZIE COUNTY HEALTHCARE SYSTEMS INC.
Totals
- Total revenue
- $65,053,793
- Total expenses
- $58,033,166
- Contributions and grants received
- $13,164,480
- Grants paid
- $0
- Program service revenue
- $51,824,222
- Investment income
- $389,988
- Other revenue
- -$324,897
- Total assets, end of year
- $112,198,103
- Total liabilities, end of year
- $69,889,231
- Net assets or fund balances, end of year
- $42,308,872
- Program services expenses (Part IX)
- $47,324,986
- Management and general expenses
- $10,708,180
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $47,324,986
Program services were 81.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$2,641,173
-
1e · Government grants (contributions)
$10,097,899
-
1f · All other contributions, gifts and grants
$425,408
-
2a · Program service revenue: Hospital Patient Service Revenue
total $34,658,891 · related or exempt $34,658,891
-
2b · Program service revenue: Clinic Service Revenue
total $6,867,986 · related or exempt $6,867,986
-
2c · Program service revenue: Nursing Home Service Revenue
total $5,393,619 · related or exempt $5,393,619
-
2d · Program service revenue: 340B Pharmacy Revenue
total $3,258,395 · related or exempt $3,258,395
-
2e · Program service revenue: Assisted Living Rental
total $455,901 · related or exempt $455,901
-
2f · All other program service revenue
total $1,189,430 · related or exempt $715,232 · unrelated business $474,198
-
3 · Investment income
total $329,961 · excluded $329,961
-
6a · Gross rents
real property $534,687
-
6b · Less rental expenses
real property $859,584
-
6c · Rental income or loss
real property -$324,897
-
6d · Net rental income or loss
total -$324,897 · unrelated business -$6,672 · excluded -$318,225
-
7a · Gross sales of assets other than inventory
other assets $60,027
-
7b · Less cost or other basis and sales expenses
other assets $0
-
7c · Gain or loss
other assets $60,027
-
7d · Net gain or loss
total $60,027 · excluded $60,027
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $1,303,011 · program services $114,701 · management and general $1,188,310
-
6 · Compensation of disqualified persons
total $300,521 · management and general $300,521
-
7 · Other salaries and wages
total $19,995,348 · program services $17,901,876 · management and general $2,093,472
-
8 · Pension plan contributions
total $691,805 · program services $646,647 · management and general $45,158
-
9 · Other employee benefits
total $2,096,345 · program services $1,546,183 · management and general $550,162
-
10 · Payroll taxes
total $1,388,841 · program services $1,155,018 · management and general $233,823
-
11b · Fees: legal
total $78,766 · management and general $78,766
-
11c · Fees: accounting
total $94,849 · management and general $94,849
-
11g · Fees: other
total $17,281,075 · program services $14,009,041 · management and general $3,272,034
-
12 · Advertising and promotion
total $234,736 · program services $38,408 · management and general $196,328
-
13 · Office expenses
total $668,617 · program services $449,482 · management and general $219,135
-
14 · Information technology
total $503,199 · management and general $503,199
-
16 · Occupancy
total $629,581 · program services $554,679 · management and general $74,902
-
17 · Travel
total $531,530 · program services $470,355 · management and general $61,175
-
19 · Conferences, conventions and meetings
total $171,497 · program services $125,449 · management and general $46,048
-
20 · Interest
total $1,406,440 · program services $1,192,098 · management and general $214,342
-
22 · Depreciation, depletion and amortization
total $5,700,821 · program services $4,793,395 · management and general $907,426
-
23 · Insurance
total $414,506 · program services $139,918 · management and general $274,588
-
24a · Other expenses: Medical Supplies
total $1,972,093 · program services $1,972,093
-
24b · Other expenses: Pharmaceuticals
total $996,466 · program services $996,466
-
24c · Other expenses: Food Service Supplies
total $531,572 · program services $529,584 · management and general $1,988
-
24d · Other expenses: Repairs and Maintenance
total $510,687 · program services $484,592 · management and general $26,095
-
24e · All other expenses
total $530,860 · program services $205,001 · management and general $325,859
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $4,807,834 · end of year $3,024,500
-
3 · Pledges and grants receivable
beginning of year $5,324,223 · end of year $3,992,323
-
4 · Accounts receivable
beginning of year $7,655,818 · end of year $9,237,755
-
8 · Inventories for sale or use
beginning of year $1,037,389 · end of year $1,584,540
-
9 · Prepaid expenses and deferred charges
beginning of year $618,785 · end of year $485,653
-
10a · Land, buildings and equipment: cost or other basis
$115,911,058
-
10b · Land, buildings and equipment: accumulated depreciation
$46,356,127
-
10c · Land, buildings and equipment, net
beginning of year $71,205,401 · end of year $69,554,931
-
11 · Investments: publicly traded securities
beginning of year $14,693,173 · end of year $23,532,439
-
15 · Other assets
beginning of year $359,193 · end of year $785,962
-
17 · Accounts payable and accrued expenses
beginning of year $3,621,798 · end of year $6,577,103
-
19 · Deferred revenue
end of year $800
-
21 · Escrow or custodial account liability
beginning of year $74,070 · end of year $72,478
-
23 · Secured mortgages and notes payable
beginning of year $67,190,540 · end of year $62,805,316
-
25 · Other liabilities
beginning of year $20,000 · end of year $433,534
-
27 · Net assets without donor restrictions
beginning of year $34,795,408 · end of year $42,308,872
Mission and programs · 2023
Mission
Mckenzie County Healthcare Systems is a faith-based organization dedicated to professional, compassionate and quality healthcare.
Activities or mission (Part I)
Health care service provider.
-
McKenzie County Healthcare Systems provides 24 hour x 7 days a week services. MCHS provided in-patient, observation, and swing bed services and obstetrics - hospital - total inpatient/observation days -1,213. Total swing bed days -1,046. MCHS offers various other services. They offer Ortho, Gen Surgery, Urol and ENT. Total Surgeries - 1015.The emergency room is open 24 hours a day, 7 days a week. Total Emergency Room visits - 5,673. The laboratory is located within the Hospital facility. Birthday lab screenings are available to the community at the hospital at a reduced rate. Total lab procedures - 64,202; Total births 99; Total clinic visits -19,775.
Expenses $34,858,381 · Revenue $38,632,518
-
The McKenzie County Healthcare System (MCHS) Good Shepherd Home (GSH) is a 47 bed skilled nursing home with an attached 9-bed basic care unit. The GSH offers Day Care and/or Respite Care for those caring for a loved one in their home. A Dementia Support Group is offered to families. They maintain regular Resident Family Council Meetings. Along with qualified nursing care and staff, social services, physical therapy, occupational therapy, restoration nursing, laundry, housekeeping, beautician services, and activity programs are offered (beautician and activities held when COVID conditions allow). Visitors are welcome when COVID conditions allow; regular electronic "visits" are arranged otherwise. Pastoral care and chapel are offered 7 days a week. Activities include birthday parties, musical groups, baking, and bus trips. The Skilled Nursing total percent of occupancy has been 85%.
Expenses $3,344,868 · Revenue $5,393,619
-
The MCHS Clinic (Rural Health Clinic) maintains the same mission as the Hospital. It provides care Monday through Friday. The RHC recently started conducting Telehealth visits as rendering providers due to COVID. A full-time contracted locum physician group provide Emergency Room Coverage at the hospital 24 hours a day x 7 days a week as well as 7 day a week Urgent Care coverage from 8am to 8pm utilizing mid-level providers. An RHC provider offered regular visits to the Good Shepherd Home. Both the Value Based Program involvement as well as our Visiting Nurse Program have been a great asset to the clinic, providing care to homebound patients within our community. After the onset of the COVID-19 pandemic the RHC developed point-of-care services and rapid testing for the community.
Expenses $8,778,102 · Revenue $6,867,986
-
Horizon Assisted Living provides assisted and independent living services. It consists of 15 apartments that provide a 24 hour call system to health care personnel. The staff is dedicated to helping seniors live at their highest level of independence and ability. Its percent of occupancy is currently at 95.6%.
Expenses $343,635 · Revenue $455,901
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Gary Brown
Chair
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Justin Voll
Vice-chair
- Total calculated
- $0
- Hours/week
- 1
-
Randy Quale
Treasurer
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Jan Dodge
Secretary
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Virginia Ceynar
Director
- Total calculated
- $0
- Hours/week
- 1
-
Kristen Heen
Director (As of Jan)
- Total calculated
- $0
- Hours/week
- 1
-
Yolanda Rojas
Director
- Total calculated
- $0
- Hours/week
- 1
-
Monty Bulzomi
Director
- Total calculated
- $0
- Hours/week
- 1
-
Chase Wisness
Director
- Total calculated
- $0
- Hours/week
- 1
-
Tammy James
Director (Until Dec)
- Total calculated
- $0
- Hours/week
- 1
-
Peter Edis
CEO
- Total calculated
- $342,507
- From this org
- $301,617
- From related orgs
- $0
- Other
- $40,890
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $250,492
- Bonus
- $51,125
- Other
- $0
- Deferred
- $34,025
- Nontaxable benefits
- $6,865
- Filer's total
- $342,507
-
Theo Stoller
COO
- Total calculated
- $155,367
- From this org
- $116,318
- From related orgs
- $0
- Other
- $39,049
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $116,318
- Bonus
- $0
- Other
- $0
- Deferred
- $12,047
- Nontaxable benefits
- $27,002
- Filer's total
- $155,367
-
Cheryl Batchelor
Interim CFO (Until Sept)
- Total calculated
- $0
- Hours/week
- 37 + 3 related
-
William Merkle
CFO (As of Sept)
- Total calculated
- $90,603
- From this org
- $50,654
- From related orgs
- $0
- Other
- $39,949
- Hours/week
- 37 + 3 related
-
Cheryl Faulkner
CNO
- Total calculated
- $166,011
- From this org
- $134,300
- From related orgs
- $0
- Other
- $31,711
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $134,300
- Bonus
- $0
- Other
- $0
- Deferred
- $8,501
- Nontaxable benefits
- $23,210
- Filer's total
- $166,011
-
Dr Gary Ramage
Medical Director, Physician
- Total calculated
- $416,079
- From this org
- $376,136
- From related orgs
- $0
- Other
- $39,943
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $376,136
- Bonus
- $0
- Other
- $0
- Deferred
- $19,800
- Nontaxable benefits
- $20,143
- Filer's total
- $416,079
-
Dr Ravindra Joshi
Orthopedic Surgeon
- Total calculated
- $1,204,781
- From this org
- $1,184,581
- From related orgs
- $0
- Other
- $20,200
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $995,140
- Bonus
- $189,441
- Other
- $0
- Deferred
- $10,285
- Nontaxable benefits
- $9,915
- Filer's total
- $1,204,781
-
Dr Yolanda Newton
Medical Doctor
- Total calculated
- $549,427
- From this org
- $524,535
- From related orgs
- $0
- Other
- $24,892
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $524,535
- Bonus
- $0
- Other
- $0
- Deferred
- $5,968
- Nontaxable benefits
- $18,924
- Filer's total
- $549,427
-
Dr Trevor Thorpe
Interim Anesthesia Chief
- Total calculated
- $399,472
- From this org
- $353,064
- From related orgs
- $0
- Other
- $46,408
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $353,064
- Bonus
- $0
- Other
- $0
- Deferred
- $18,207
- Nontaxable benefits
- $28,202
- Filer's total
- $399,473
-
Dr Kathryn Kovar
CRNA
- Total calculated
- $349,900
- From this org
- $321,817
- From related orgs
- $0
- Other
- $28,083
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $321,817
- Bonus
- $0
- Other
- $0
- Deferred
- $18,135
- Nontaxable benefits
- $9,948
- Filer's total
- $349,900
-
Dr Paul Dearing
Medical Doctor
- Total calculated
- $310,148
- From this org
- $297,000
- From related orgs
- $0
- Other
- $13,148
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $297,000
- Bonus
- $0
- Other
- $0
- Deferred
- $13,148
- Nontaxable benefits
- $0
- Filer's total
- $310,148
-
Daniel Kelly
Former President
- Total calculated
- $203,472
- From this org
- $180,151
- From related orgs
- $0
- Other
- $23,321
- Hours/week
- 0 + 19.85 related
Schedule J breakdown matched by us
- Base
- $158,651
- Bonus
- $0
- Other
- $21,500
- Deferred
- $9,812
- Nontaxable benefits
- $13,509
- Filer's total
- $203,472
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 1a · Housing allowance or residence for personal use
- 2 · Substantiation required before reimbursing expenses
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 1b · Written policy on the line-1a expenses
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Part I, Line 1a
- Dr. Yolanda Newton, Dr. Trevor Thorpe, and Dr. Kathryn Kovar received residence for personal use at no cost or below fair market value. These amounts have not been included in their W2 taxable income.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
Benefit Fund of McKenzie County Healthcare Systems
501(c)(3) · To support the McKenzie County Healthcare Systems · ND · controlled entity
Directly controlled by McKenzie County Healthcare Systems Inc
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
McKenzie County Healthcare Systems Properties
C · Property Management · ND · 100% owned · share of income $39,700 · share of assets $386,566 · controlled entity
Directly controlled by McKenzie County Healthcare Systems Inc
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 15 May 2025
- IRS schema version
- 2023v6.0
- Source object
- 202531359349313813
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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